Individual
DR. SREEDHAR SAMUDRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1195 OLD HICKORY BLVD, SUITE 103, BRENTWOOD, TN 37027-4239
(615) 373-2000
(615) 891-5001
Mailing address
1195 OLD HICKORY BLVD, SUITE 103, BRENTWOOD, TN 37027-4239
(615) 373-2000
(615) 523-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36148
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3377514
—
TN
Enumeration date
02/20/2006
Last updated
12/26/2024
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